LAKE CENTRAL PHARMACY - Pharmacist License in Illinois | # 054007288

LAKE CENTRAL PHARMACY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054007288

License Status

NOT RENEWED

Business

Y

Business Name

LAKE CENTRAL PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1994

State

IL

Ever Disciplined

Y

LastModifiedDate

10/17/2005

Case Number

1991007154

Action

Revocation

Discipline Start Date

07/07/1993

Discipline Reason

Filed false Public Aid records and claims.